Provider Demographics
NPI:1669508875
Name:MCNAMARA, LINDA IRENE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:IRENE
Last Name:MCNAMARA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 SW 6TH CT
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-2710
Mailing Address - Country:US
Mailing Address - Phone:239-574-9830
Mailing Address - Fax:
Practice Address - Street 1:1008 SW 6TH CT
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33991-2710
Practice Address - Country:US
Practice Address - Phone:239-574-9830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7054101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health